How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $173.78 Median $338.84 Typical High $660.69 | Facility | Global | $173.78 | $338.84 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $51.29 Typical High $91.20 | Facility | 26 · Professional part | $25.12 | $51.29 | $91.20 |
Aetna Setting Professional Modifier Global Typical Low $67.61 Median $112.20 Typical High $457.09 | Professional | Global | $67.61 | $112.20 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $23.99 | $36.31 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $208.93 | Professional | TC · Technical part | $50.12 | $77.62 | $208.93 |
Ambetter Setting Professional Modifier Global Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | Global | $95.50 | $95.50 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $40.74 | $52.48 |
AmeriHealth Setting Facility Modifier Global Typical Low $5,011.87 Median $5,248.07 Typical High $6,606.93 | Facility | Global | $5,011.87 | $5,248.07 | $6,606.93 |
AmeriHealth Setting Professional Modifier Global Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | Global | $123.03 | $123.03 | $158.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $123.03 Median $147.91 Typical High $165.96 | Professional | Global | $123.03 | $147.91 | $165.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $39.81 | $52.48 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $100.00 | $147.91 |
Cigna Setting Facility Modifier Global Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | Global | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier Global Typical Low $81.28 Median $114.82 Typical High $208.93 | Professional | Global | $81.28 | $114.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $33.11 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $79.43 | $158.49 |
Emblem Health Setting Professional Modifier Global Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | Global | $173.78 | $173.78 | $208.93 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $37.15 | $44.67 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $138.04 | $138.04 | $162.18 |
Geisinger Setting Professional Modifier Global Typical Low $67.61 Median $144.54 Typical High $199.53 | Professional | Global | $67.61 | $144.54 | $199.53 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $34.67 | $53.70 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $40.74 | $102.33 | $151.36 |
Highmark BCBS Setting Facility Modifier Global Typical Low $257.04 Median $363.08 Typical High $630.96 | Facility | Global | $257.04 | $363.08 | $630.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $26.30 | $26.30 | $30.20 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $1,513.56 Median $3,890.45 Typical High $6,606.93 | Facility | Global | $1,513.56 | $3,890.45 | $6,606.93 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | Global | $123.03 | $125.89 | $158.49 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Martin's Point Setting Facility Modifier Global Typical Low $165.96 Median $302.00 Typical High $794.33 | Facility | Global | $165.96 | $302.00 | $794.33 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $51.29 Typical High $91.20 | Facility | 26 · Professional part | $25.12 | $51.29 | $91.20 |
Martin's Point Setting Professional Modifier Global Typical Low $72.44 Median $112.20 Typical High $288.40 | Professional | Global | $72.44 | $112.20 | $288.40 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $31.62 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $208.93 | Professional | TC · Technical part | $50.12 | $85.11 | $208.93 |
Oscar Health Setting Facility Modifier Global Typical Low $446.68 Median $562.34 Typical High $5,754.40 | Facility | Global | $446.68 | $562.34 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | Global | $95.50 | $95.50 | $102.33 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $173.78 Median $245.47 Typical High $512.86 | Facility | Global | $173.78 | $245.47 | $512.86 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $27.54 | Facility | 26 · Professional part | $26.30 | $27.54 | $27.54 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $72.44 Median $109.65 Typical High $120.23 | Professional | Global | $72.44 | $109.65 | $120.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $26.30 | $27.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $85.11 | $93.33 |
United Setting Professional Modifier Global Typical Low $70.79 Median $104.71 Typical High $190.55 | Professional | Global | $70.79 | $104.71 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $48.98 | $75.86 | $141.25 |
Where Pennsylvania sits
The same service costs 8.9 times more in West Virginia than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 16th of 51
$151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.